2017-2018 SJUSD Middle School Course Selection
Pasteur Middle School
Completion Instructions
1. Complete student information.
2. Under “Required Courses,” circle Regular or Honors in EACH subject area. If you want to take an Honors
Course, an Honors Agreement MUST be completed and returned with the course selection form.
3. Under “Electives,” Choice #1 is a student’s first choice; Choice #2 is a student’s second choice, etc.
Students are NOT guaranteed their first choice. Elective choices are subject to availability.
Student Information:
Current Grade:
Student ID #:
Student’s Legal Last Name :
Student’s Legal First Name:
Middle Name:
Home Address:
City:
Zip Code:
Parent/Guardian First and Last Name:
Cell Phone # / Work Phone #:
Parent/Guardian Email Address:
“ Required Core Courses” (Circle one for each of the subjects)
English
Regular
Honors
Science
Regular
Honors
Social Studies
Regular
Honors
Determined by placement testing
Math
Elective Courses (In order of preference, complete ALL three (3) choices)
Choice #
Course Name
1
2
3
Parent/Guardian Signature
Student Signature
Date
By signing I understand that:
 Students who fail or are at-risk of failing a required core course, may require a site team conference and a
plan for academic success. This may result in a support class in lieu of an elective or placement from
Honors to regular education classes.
 Elective courses are subject to availability and staffing